Hu T W
University of California, Berkeley.
Int J Technol Assess Health Care. 1991;7(1):3-11. doi: 10.1017/s0266462300004797.
The objective of this article is to describe and analyze the decision-making process and its consequences for medical technology transfer in China. Data were obtained in 1987 from 35 elite teaching hospitals affiliated with 13 medical universities, directly supervised by the Ministry of Health in the People's Republic of China. This article focuses on three kinds of diagnostic equipment: computerized tomographs, ultrasonic diagnostic units, and high-power x-ray diagnostic apparatuses. Decision-making on the transfer of medical technology in China is decentralized. Most hospitals rely on foreign medical sales representatives and medical exhibits, and their decisions on the acquisition of equipment rely more on the services available than on the price of the product. Chinese hospitals also encounter serious infrastructure problems when buying medical equipment. A number of alternatives are suggested for improving the efficiency of medical technology transfer in China.
本文的目的是描述和分析中国医疗技术转让的决策过程及其后果。数据于1987年从隶属于13所医科大学的35家精英教学医院获取，这些医院由中华人民共和国卫生部直接监管。本文重点关注三种诊断设备：计算机断层扫描仪、超声诊断仪和高功率X射线诊断仪。中国医疗技术转让的决策是分散的。大多数医院依赖外国医疗销售代表和医疗展会，他们在设备采购上的决策更多地依赖于可得的服务而非产品价格。中国医院在购买医疗设备时还面临严重的基础设施问题。文中提出了一些提高中国医疗技术转让效率的替代方案。
